Withdraw Notice
We appreciate your feedback. Please be open an honest on this form so we can work hard to correct any issues you had and improve the Carelot Experience.

Withdraw notices are only accepted Monday-Thursday to avoid additional tuition charges.

Center Families - 2 week notice required
Clubhouse Families - 30 Day notice required
Email *
Child's Name *
Center Child Attends *
Withdraw Date (We require a two week notice or you will forfeit your deposit.) *
MM
/
DD
/
YYYY
Reason for withdraw *
Would you return to this center if care was needed again? *
Would you recommend Carelot to a friend? *
Is there any staff member you would like to recognize? *
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy